Several
times in the past couple of months, I have had to do
what no doctor looks forward to - deliver the
diagnosis of cancer.
While
the pets afflicted were different in age, breed and
residence, they all possessed a common trait. Each was
an un-neutered male dog suffering from prostate
cancer. While the primary benefit of neutering,
permanent prevention of breeding, is quite apparent
and well talked about, other benefits of equal
importance have taken a back seat or even been
forgotten about completely.
Most
everyone remembers Bob Barker telling his audience to
remember to spay and neuter their pets, but few fully
understand the true health benefits within his catch
phrase. As in humans, the canine prostate and other
tissues of the body are directly affected by the
production and/or presence of testosterone and, to a
lesser degree, other growth stimulating hormones.
Testosterone,
a hormone produced by specific cells in the testicles,
is the proposed driving force behind most prostate
diseases. Problems include prostate cancer, benign
prostate enlargement, prostate infections, and cystic
prostate diseases. While the focus here is mainly on
the prostate, other tissues including the testicles
can fall prey to similar disease processes due to
stimulation, or over stimulation, by the same
hormones.
Although
not limited to intact males, prostate disease has a
much higher chance of occurring in those that are
un-neutered. While all of the mentioned diseases
require specialized procedures and specific
pharmaceuticals for diagnosis and treatment, not all
are curable.
Prostate
cancer has a very high probability of being inoperable
because of the location and close proximity to
important and fragile structures. Chemotherapy is
usually the only option, and is met with mixed
feelings and results. Prostate cancer can be
metastatic, meaning it can spread to other tissues,
which can lead to complicating illnesses in an already
diseased individual.
An
enlarging prostate, caused by any of the mentioned
diseases, can interfere with the normal function of
surrounding structures and/or tissues. Dogs afflicted
with prostate disease may have difficulty performing
common tasks such as urinating and defecating, due to
pressure applied by the increasing size of the
prostate within the limited space of the pelvic canal.
Signs
such as blood in the stool, pain during elimination,
constipation and urine retention among other problems,
may be detected in those afflicted. These signs may be
the reason for presentation to a veterinarian, or may
follow after incidental diagnosis during routine
examinations. Definitive diagnosis may require
diagnostic imaging (such as X-ray and ultrasound),
cytology, tissue biopsy or a combination thereof.
Treatment can range from oral or injectable
pharmaceuticals to chemotherapy, radiation, and/or
surgery.
While
treatment or management of prostate disease is
typically a long and sometimes grueling process, which
in the case of cancer frequently results in the
triumph of the disease, the process of performing a
neuter procedure is relatively quick and painless in
comparison.
Studies
and collective medical evidence show that neutering
pets will dramatically reduce the chance of the
previously mentioned conditions and can save animals
from the unnecessary suffering of a potentially
preventable situation. Although preventative medicine
is commonly accepted and practiced in the form of
vaccinations, parasite control measures, and regular
health check-ups, the act of neutering has failed to
attain the same acceptance with regard to the health
benefits received from such a practice. If prevention
of dangerous and potentially deadly diseases is
performed yearly in the form of annual vaccinations
and health check-ups, why not give your pet the same
type of health benefit with a single surgical
procedure?
___
Dr.
Jacob Church is a veterinarian at Cedar Lake Pet
Hospital in Biloxi, Miss. Questions for this column
are encouraged. Write to South Mississippi Veterinary
Medical Association, 20005 Pineville Road, Long Beach
MS 39560 and include a self-addressed stamped
envelope.